Minimally invasive access for endovascular aortic aneurysm repair

作者：Mayer D^*; Rancic Z; Wilhelm M; Veith F J; Lachat M

来源：Gefasschirurgie, 2011, 16(3): 168-173.

DOI：10.1007/s00772-011-0897-z

• Vascular surgery
• Arterial access
• Endovascular aortic aneurysm repair
• Complications
• Vascular closure device

Complications of surgical and percutaneous vascular access are well known and can lead to considerable morbidity and even mortality. This article describes a technique which combines the advantages of surgical open and percutaneous access approaches: minimal surgical exposure of the target vessel followed by fast and safe access by a modified open Seldinger technique under direct tactile and visual control. This unique combination of techniques enhances the safety of vascular access such that local complications can be almost totally avoided. Economic and safety considerations are discussed and a balanced view on the advantages of the described technique will be given.

• 出版日期2011-5